| Bigsmile Inc. | |
|
1315 Emancipation Hwy Fredericksburg VA 22401-4640 | |
| (540) 899-1777 | |
| (540) 899-2266 |
| Full Name | Bigsmile Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1315 Emancipation Hwy, Fredericksburg, Virginia |
| Authorized Official Name and Position | Carter Milan Waller (OWNER DENTIST) |
| Authorized Official Contact | 5619014700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bigsmile Inc. 1315 Emancipation Hwy Fredericksburg VA 22401-4640 Ph: (540) 899-1777 | Bigsmile Inc. 1315 Emancipation Hwy Fredericksburg VA 22401-4640 Ph: (540) 899-1777 |
| NPI Number | 1316700115 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316700115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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